Title
Category
Publish Date
Multi-Purpose Senior Services Program Update
Major organ transplants will be able to enroll or continue enrollment in Medi-Cal managed care in all counties.
Programs
11/23/2021
Major Organ Transplants Update for Managed Care Plan Beneficiaries
Major organ transplants will be able to enroll or continue enrollment in Medi-Cal managed care in all counties.
Programs
11/22/2021
Multi-Purpose Senior Services Program Update
Major organ transplants will be able to enroll or continue enrollment in Medi-Cal managed care in all counties.
Programs
11/22/2021
Reimbursement of COVID-19 Vaccine and Monoclonal Antibody Administration for Medical Providers
This article details the administration and reimbursement of COVID-19 vaccines and monoclonal antibodies when administered as Physician Administer Drugs (PADs) by medical providers.
Billing
11/17/2021
February 2022 Medi-Cal Provider Training Webinars
Outreach and Education along with the Department of Health Care Services is offering category specific webinar sessions in February.
Outreach and Education
11/15/2021
Cal AIM Transition
CalAIM initiative to standardize enrollment process to help ensure populations moving between counties are subject to the same enrollment requirements.
Provider Enrollment
11/15/2021
Safety Net Clinic Billing Instructions for CalAIM Dental Initiatives Forthcoming
CalAIM will be implemented with dental initiatives including pay-for-performance payments for preventive services and continuity of care/establishing a dental home, and two new program benefits.
Billing
11/08/2021
California Kids Care is No Longer a Medi-Cal Managed Care Plan
California Kids Care will no longer be a Managed Care provider effective January 2022.
DHCS Notice
10/27/2021
New Electronic Claim Resubmission Helps Providers Avoid Paper CIFs/Appeals
Better understand how to electronically replace or void already processed 837 Institutional and Professional claims. A way to fix claim issues without needing paper Claims Inquiry Forms Remittance Advice Details or Appeal Forms.
Billing
10/26/2021
Coming Soon: Booster Dose for Pfizer-BioNTech COVID-19 Vaccine is Authorized for Certain Populations
The Food and Drug Administration amended the Emergency Use Authorization for the Pfizer BioNTech COVID-19 vaccine to allow for use of a single booster dose for certain populations.
COVID-19
10/26/2021
Third Dose for Pfizer-BioNTech and Moderna COVID-19 Vaccines: Pharmacy Batch and Hard Copy Claims
Medi-Cal is now able to properly process and adjudicate Pharmacy electronic batch or hard copy claims for the third dose of either the Pfizer-BioNTech and Moderna COVID-19 vaccines.
COVID-19
10/25/2021
FQHC/RHC Annual Rate Adjustment Correction
DHCS posted a bulletin informing FQHCs and RHCs of a 1.4 percent rate increase to reflect the current MEI. These rates were erroneously updated at 1.9 percent and being corrected.
Billing
10/21/2021
MCSS Emails and MLP Surveys Temporarily Suspended
MCSS provider notifications, as well as MLP Surveys, are down as of 5 p.m. on October 15, 2021.
DHCS Notice
10/15/2021
Updated Policy for Palivizumab for the 2021-2022 RSV Season
Policy update for Palivizumab for the 2021–2022 RSV Season.
Billing
10/08/2021
Medi-Cal Rates Adjustment
2021 Medi-Cal Rates Landing Page Update
Rates
10/07/2021

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